Musalole Kuti Kupweteka Kwanu Kukulepheretseni Zokwanira
Kumbuyo kwenikweni kungakhudze aliyense. Kuchokera ogwira ntchito kuntchito kupita kuntchito zogwira ntchito, kuteteza thupi kumatenda apamwamba, tonsefe tiri pangozi.
Ngati simusamalitsa, ululu wopweteka kwambiri-umene ukhoza kuyamba chifukwa cha kuvulala, kukhumudwa, kapena kupita patsogolo kwa msana-kungakhale kosatha. Ndizothandiza kudziŵa zovuta zomwe zimapweteka m'mbuyo mwamsanga kuti zowawa zanu zisapitirire.
Kusiyanitsa pakati pa Kubwezeretsa Kwambiri Kwambiri ndi Kuvutika Kwambiri Kumbuyo
Kupweteka kwakumbuyo komwe kumatchulidwa kawirikawiri kumakhala ululu wokhudzana ndi msana umene umatenga nthawi yaitali kuposa miyezi itatu. Kupweteka kwapweteka kwamtundu , kumbali inayo, kumatenga maola 72, ndipo kawirikawiri kumabweretsedwera ndi mtundu wina wa chochitika. Chiyimira gawo loyambirira mu machiritso a chovulaza.
Gawo lachimake limakhala pakati pa magawo ovuta komanso aakulu. Amatenga malo omwe amatha kutuluka maola pafupifupi 72, ndipo amapitirira mpaka gawo loyamba limayamba, lomwe limakhalanso pamtunda wa miyezi itatu.
Kuchiza Kwambiri Kwambiri
Akatswiri amalangiza kuti muwone dokotala mwamsanga pambuyo pa mtundu uliwonse wa zoopsa zanu, kuphatikizapo msana, makamaka ngati zotsatira zimabweretsa ululu. Matenda oyambirira, omwe amachititsa kuchipatala koyambirira, ndizofunikira kuti athetse bwinobwino. Mwa kuyankhula kwina, kupeza chithandizo chamankhwala chifukwa cha kuvulala kwanu kumbuyo kumene mukuchitika kungakuthandizeni kupewa matenda aakulu a nthawi yaitali.
Ngati ululu wanu wam'mbuyo umagwira mofulumira ndipo dokotala wanu akutsimikizira kuti si chifukwa cha matenda aakulu kapena vuto, amatha kusamalidwa bwino ndi mankhwala opweteka kwambiri, kuperewera kwachitetezo chanu panthawi yeniyeni, anapanga zochitika zothandizira. Nthawi zambiri, ndi bwino kuti pulogalamu ya zochita zolimbitsa thupi ikhale yochokera kuchipatala chovomerezeka.
Kuchepetsa ntchito yanu kwa masiku angapo mpaka masabata angapo pamene mukuchiritsidwa kungakuthandizeni kuti musapangitse zinthu kuipiraipira. Tawonani kuti malangizo awa si onena nokha kuti mupume mokwanira. Bedi limagwiritsidwa ntchito kukhala ndondomeko yovomerezeka, koma posachedwa, yalowa m'malo ndi chinthu monga "khalanibe olimba koma musinthe mozama pansi kuti musayende ndi ululu."
Mankhwala opweteka kwambiri amathandiza kuchepetsa ululu wafupipafupi komanso kuchepetsa kutupa. Kutupa ndiyankhidwe ndi chitetezo cha mthupi lanu ku zoopsa zanu; Amapereka mankhwala ochiza kuchipatala. Kutupa pang'ono ndi chinthu chabwino pakali pano, koma kumasiyidwa kosasunthika, kungayambitse mavuto pakapita nthawi. Mwa kuyankhula kwina, posatengera mankhwala opweteka opweteka monga aspirin kapena NSAID yina, mukhoza kukhala wokhala ndi mitsempha yolimba komanso chiopsezo chachikulu chobwezeretsanso. Dziwani kuti, zina mwa NSAID, makamaka Advil, zingawononge thanzi lanu.
Pulogalamu yochizira-monga yoperekedwa ndi wodwalayo-ingakuthandizeni kuti muyambe kuyenda bwino. Mapulogalamu ochita masewera olimbitsa thupi nthawi zambiri amawunikira kwambiri kukhazikitsa chithandizo chamkati, chomwe chingakuthandizeni kubwereranso kuntchito zanu zachizolowezi monga munda, ntchito zapakhomo, kusamalira ana komanso ngakhale kukhala pa kompyuta yanu kwa nthawi yaitali.
Pulogalamuyi ingakuthandizeninso kupewa kudzivulaza nokha ndipo ingathandize kuchepetsa ululu.
Mwa kutsatira malangizo awa osavuta, mukhoza kubwereranso kuntchito zochitika mofulumira komanso mosavuta pambuyo povulala mmbuyo. Kuchita zimenezi kungabweretse vuto lalikulu lakumbuyo.
Cholinga Chachikulu Kwambiri Chakumbuyo Kwambiri Kwambiri Kwambiri
Ngakhale kuti zinthu zambiri zimapangitsa kuti pakhale mavuto aakulu a nthawi yayitali, kukhala ndi chiyambi choyamba kapena zowawa zapweteka kwambiri ndizokulu kwambiri. Kupenda ndi kufufuza mchaka cha 2014, kofalitsidwa mu Spine Journal kuyang'ana pa maphunziro 41 koma sanathe kuzindikira aliyense amene ali ndi chiopsezo chomwe chimatsogolera munthu kukhala ndi ululu wammbuyo kwa nthawi yoyamba m'moyo wawo.
Chokhachokha chinali kukhala ndi vuto la ululu wammbuyo m'mbuyomo. Ofufuzawa adapeza kuti zowawa zammbuyo zam'mbuyo zam'mbuyo zidaneneratu za mavuto amtsogolo.
Tsopano kuti mukudziwa nthawi yoyamba ndikumva kupweteka kwa msana kungapangitse chiopsezo chanu m'tsogolo, ndipo kunyalanyaza izo kungayambitse vuto lalikulu, sitepe yotsatira ndikuyang'ana momwe mumakhalira.
Zinthu Zowopsa Kwambiri Zowonongeka
Zinthu zochepa zomwe zimabweretsa mavuto kumbuyo zimatha kulamulidwa kapena zosayendetsedwa. Zinthu zomwe zingayambitse vuto ndizo zomwe mungachitepo. Zinthu zosalamulirika zomwe zimakhala zovuta zimaphatikizapo zomwe simungasinthe, monga zaka komanso chikhalidwe.
Kusamalira zowonongeka zofunikira kungayesetse mwakhama. Koma pali ndalama zowonjezerapo kuti izi zitheke: zingathandize kusintha mbali zina za thanzi lanu. Zitsanzo zimaphatikizapo kuchepetsa chiopsezo cha matenda a mtima, matenda a shuga kapena shuga.
BMI
Kunenepa kwambiri ndi kulemera kwambiri (BMI ya zaka 30 kapena kuposerapo) kumakhala ndi chiopsezo chowonjezereka chifukwa cha ululu wammbuyo mwa amuna ndi akazi, malinga ndi kafukufuku wa 2014 wofalitsidwa m'magazini ya Clinical Spine Surgery . Olemba pulogalamuyi akunena kuti kukhala ndi thupi lolemera kungakhale chimodzi mwa zinthu zambiri zomwe zimapewa kupweteka kwapweteka kochepa.
BMI, yomwe imayimira mndandanda wa thupi, ndiyeso ya kulemera kwake komwe mumakhudzana ndi kutalika kwanu. Amagwiritsidwa ntchito kawirikawiri kuti awononge anthu kukhala ochepa mphamvu, olemera, olemera kwambiri, olemera kwambiri komanso ovuta kwambiri.
Kwa amuna okha, phunziro la 2016 lofalitsidwa mu Medicine (Baltimore) linapeza kuti ululu wam'mimba wam'mimba ndi / kapena kulemala kunkachitika makamaka kwa amuna okhwima, makamaka pamene amunawa anali ndi vuto la maganizo.
Kumbukirani kuti vuto linalake lakumbuyo lingayambitse kupweteka kwa mwendo, vuto limene ambiri omwe si achipatala amawatcha kuti sciatica. Phunziro la 2014 lomwe linafalitsidwa mu American Journal of Epidemiology linapeza kuti kukhala woposa kunenepa kwambiri kapena kupambanitsa kumayambitsa chiopsezo chachikulu cha amuna ndi akazi. Lumbar kupweteka kwambiri kumayambitsa ululu umene umalowa mu mwendo. Ndi chifukwa cha kutupa kapena mtundu wina wokwiyitsa kwa mizu ya msana.
Ofufuzawa anapeza kuti nkhani zophunzira zolemera, zomwe zimakhala zovuta kwambiri, ndizoopsa kwa mtundu umenewu wa ululu wa m'mimba.
Ndipo munthu sangathe kufotokozera mokwanira nkhani ya kunenepa kwambiri pamene ikukhudzana ndi ululu wammbuyo popanda kunena zochita zolimbitsa thupi nthawi zonse. Kuchita masewera olimbitsa thupi nthawi zonse kungakuthandizeni kuchepetsa kulemera kwa thupi, komanso kumangirira mphamvu za minofu zofunikira kuti muthandize kulemera kumene mumanyamula nanu. Mwa kuyankhula kwina, minofu yamphamvu imateteza ziwalo kuti zisadulidwe, ndi kuchotsa kupanikizika.
Phunziro la 2017 lofalitsidwa mu Spine Journa l linapeza mgwirizano wofooka pakati pa moyo wokhala ndi moyo wokhazikika komanso kukhalapo kwa ululu wochepa. Kawirikawiri, olemba amati, mgwirizano umenewu umapezeka mwa akazi.
Chikhalidwe
Chinthu chimodzi chofunikira kwambiri pakuzindikiritsa ngati kupweteka kwapweteka kwapweteka kumakhala vuto lalikulu ndikumverera kwanu ndi maganizo anu. Ndemanga ya February 2018 yomwe inalembedwa m'nyuzipepala ya Psychology, Health and Medicine inapeza umboni wakuti zinthu zakuthupi zimagwirizana ndi kusintha pakati pa nthawi yayitali ndi matenda aakulu omwe alibe matenda opweteka khansa, omwe ali ndi mitundu yambiri ya ululu ndi ululu wammbuyo.
Zinthu zokhudzana ndi maganizo ndi maganizo kapena makhalidwe omwe amachititsa kuti munthu asamawonongeke, kapena kuti matenda.
Mwapadera, maphunziro a Psychology, Health and Medicine anapeza kuvutika maganizo ndi kuopa mantha, mwa kuyankhula kwina, kulola kuopa kupweteka kapena kubwezeretsanso pa kayendetsedwe kake kukulepheretsani kugwira ntchito mwakhama, monga chitsimikizo champhamvu cha kupita patsogolo kwa zowawa zapwetekedwa m'mbuyo, mikhalidwe yaitali. Olemba owerenga amapempha kusintha kwa chikhalidwe cha mankhwala opweteka kuti asonyeze chidziwitso ichi, makamaka kuti azigwiritse ntchito kumayambiriro kwa chisamaliro, komanso kupewa.
Kusuta
Kusuta ndi chimodzi mwa zizoloŵezi zoipa kwambiri za msana wanu.
Sikuti zimakhudza bwanji kubereka kwa zakudya m'nthaka, choncho zimasintha, koma zingasinthe malingaliro anu.
Kusuta nthawi zina kumatanthauzira kuchitidwa opaleshoni yopititsa patsogolo, komanso. Ngati simungathe kuchita china chilichonse musanayambe ndondomeko ya msana, musiye kusuta. Zingapangitse kusiyana pakati pa zotsatira zokhutiritsa ndi kulephera.
Olemba a phunziro la 2016 lofalitsidwa mu nyuzipepala ya Cureus adapeza kuti osuta fodya ali ndi ululu wammbuyo kuposa omwe adasiya, ndipo iwo amene asiya amakhala ndi ululu wambiri kuposa omwe sanasute fodya.
Zinthu Zowopsa Kwambiri Kubwerera Kumbuyo
Anthu ena amafunika kuonetsetsa kuti akumva kupweteka kwapambuyo kuposa ena. Kukhala wazimayi, kukalamba, kukhala ndi maganizo okhudzidwa ndi / kapena kukhala ndi ntchito yokhala ndi zofunikira kwambiri zakuthupi ndi zina mwazifukwa zosasinthika zomwe zimapweteketsa matenda aakulu.
Gender
Mwina chifukwa cha mahomoni, amayi ndi atsikana ali pachiopsezo chachikulu chakumva ululu. Phunziro la 2016 lofalitsidwa mu nkhani ya April ya Zowonetsera Imaging mu Mankhwala ndi Opaleshoni inapeza kuti ululu wammbuyo unali wofala kwambiri kwa akazi kuposa amuna. Ofufuzawo amati kusiyana kwakukulu kwambiri pakati pa milandu yamwamuna ndi wamkazi yomwe imabweretsa ululu kumachitika mu gulu lakalamba. Phunziroli, amayi omwe amatha msinkhu amatha kupweteka kwambiri.
Zaka
Ndikula msinkhu mungathe kuyembekezera kusintha kwa msana . Ngakhale simungathe kulamulira izi, mukhoza kuwonetsa mlingo wa chitukuko komanso momwe mumasangalalira. Kukhazikika ndi zochitika zosiyanasiyana zoyendetsera kayendetsedwe ka kayendetsedwe kazendo ndizofunikira kuti pang'onopang'ono zisinthe kusintha ndi kuchepetsa ululu. Kulimbitsa thupi ndikofunikira kwambiri pazifukwa zomwezo. Funsani dokotala wanu kapena wodwalayo kwa pulogalamu yomwe ili yoyenera kwa inu, kupatsidwa chikhalidwe chanu.
Ngakhale amayi ndi achikulire akukwera mndandanda wa anthu omwe ali pangozi yowonjezereka ya ululu wammbuyo womwe sulekanitsa mtundu wina wa anthu kuti akhale ndi vutoli. Mwachitsanzo, kaya ndinu wamwamuna kapena wamkazi, mukadali wamng'ono ndipo mumagwira ntchito zambiri, disks yanu imadzazidwa ndi madzi, zomwe zimapangitsa kuti zikhale zovuta kukonza diski , kupweteka minofu, kupanikizana ndi mitsempha kapena kuvulaza zofanana.
Ntchito Yanu
Mavuto a kubwerera m'mbuyo akufala. Ntchito ndi zofuna zapamwamba zimawonjezera chiopsezo chachikulu, koma ntchito zowonongeka zingayambitsenso matenda osokoneza bongo (MSDs) omwe akuvulala kapena zinthu zomwe zimakhudza ziwalo zofewa za thupi. Ma MSD nthawi zambiri amatsogolera kuuma, kupweteka komanso kuchepa kwa thupi.
Kodi Mwayesedwa?
Ngakhale kuti ndizosowa, vuto lalikulu la thanzi mwina limayambitsa vuto lakumbuyo kwanu. Vuto ndilo, mwina simungadziwe kupatula ngati mutayang'aniridwa ndi MD yemwenso ali otsimikiziridwa ndi MD Ichi ndi chimodzi mwa zifukwa zambiri zomwe mukuwona dokotala pambuyo povulazidwa kapena kupwetekedwa mtima, kapena pakuwona zizindikiro zatsopano, akulimbikitsidwa.
Chimodzi mwa ntchito ya dokotala pachigawo choyambirira ndicho kuzindikira mbendera zofiira , kapena zizindikiro zomwe zimasonyeza kuti matenda kapena matenda aakulu a msana akugwira ntchito m'thupi lanu.
Zokakamiza matenda zingakhale zoopsya; Matenda akuluakulu a msana sakhala ayi, koma angakhale opweteka kwambiri komanso odetsa nkhawa. Nthawi zambiri kumabweretsa ululu wammbuyo. Kupweteka kumbuyo komwe kumakhala kupweteka ndi chifukwa chodziwikiratu.
Kupweteka kwapambuyo kosiyanasiyana, komwe kumakhudzana ndi minofu ndi malo , kumatchedwa ululu wosabwerera m'mbuyo, wotchedwanso kuti ululu wopweteka. Madokotala amamva kupweteka kwapweteka monga momwe sanatchulire kamodzi atatha kuthetsa mikhalidwe yonse yomwe ingatheke, mwachitsanzo, kufooka kwa mitsempha, kupweteka kwa msana, scoliosis ndi zina zambiri.
Mankhwala opweteka kumbuyo nthawi zambiri amakhala ovuta kuthana nawo kusiyana ndi ululu wammbuyo. Kupitako kangapo kwa mankhwala opatsirana-kuphatikizapo kumamatira pulogalamu yanu yapanyumba-kungakhale zonse zomwe mukufunikira kuti muthetse kupweteka. Mankhwala opweteka oletsa kupweteka komanso / kapena mafupa osungunuka angathandizenso, makamaka pachiyambi, pochepetsa kupweteka ndi kupweteka kotero kuti muthe kuchita bwino muzochitika zamakono.
Chidziwitso Chochokera
Kuopsa kwa ululu wammbuyo kumakhala komweko. Ndiwo mtundu chabe ndi chifukwa chomwe chingasinthe. Kuika minofu yanu kukhala yamphamvu ndi yosinthasintha, kulemera kwanu poyang'ana ndikusiya kusuta ndizowatetezera kwambiri zokhudzana ndi msana.
> Zotsatira:
> Amorim, A., et. al. Kodi khalidwe lokhazika mtima pansi likuwonjezera chiopsezo cha kupwetekedwa kwapansi? Maphunzilo a mapaini omwe amapangidwa ndi anthu omwe amapangidwa ndi anthu. J. Spine J. July 2017.
> Chou, L., ndi. al. Msonkhano pakati pa Kunenepa Kwambiri ndi Kuvutika Kwambiri Kwambiri ndi Kulemala Kumakhudzidwa ndi Vuto la Kusokonezeka kwa Maganizo: Anthu Ophunzira Omwe Amagwiritsa Ntchito Anthu Omwe Amagwiritsa Ntchito Pakati pa Magulu (Baltimore) April 2016.
> Green, B. Association pakati pa Kusuta ndi Kubwezeretsa Kwambiri M'chigawo Chachikulu cha Achimereka Achikulire Cureus. Sept. 2016.
> Hruschak, V., ndi. al. Zolemba zamaganizo pa kusintha kuchokera pachimake mpaka kupweteka kosalekeza: ndondomeko yowonongeka Psychology, Health and Medicine. Feb 2018.
> Kokkas, B. Minofu Kuvulala ndi kutupa. Ann Gen Psychiatry. April 2010.